HomeMy WebLinkAboutScanned DocumentsALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: t l- l211, % Permit Number:
S - J 1 J
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of linep
Address: SS
Legal Description: r) �Q to -1 3i -i. 1241 t�L Ty-Irt4 'Pe"e-T t>4 U
Property Tax ID #: L(a - t t l - 0 O L - C)O0 - O _ � _ Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks , Front Back:
Right Side: Left Side:
I DETAILED DESCRIPTION OF WORK: I
lns�a�l o. ar ®-� t � � �6 r tVY- 3 - S Tb N
Sys#>�n tlQ SE'vR wkJAn to t'-' \rJ iC- hheoj
CONSTRUCTION INFORMATION:
Additional work to De erformed under tis permit - check a apply
HVAC Gas Tank Gas Piping _ Shutters Windows/Doors
✓✓✓C Electric Plumbing Sprinklers FI Generator FIRoof Roof pitch
Total Sq. Ft of Construction:
Cost of Construction: $ N I4&Z • bD
SFt. of First Floor: _
Utilities: Sewer Septic
Building Height:
OWNEIRABSEE:
CONTRACTOR:
Name
Name: JAMES F GRIMES
Address l i5 b41 S W 12 V
Company: GRIMES HEATING AND AIR CONDITIONING
Address: 3054 N US HWY 1
City: Y111 Sn �n„'. State: L_
Zip Code: 33 M l0 Fax:
City: FORT PIERCE State: FL
Phone No. -n?-- L4 lo'A - 16 ?=I
rip Code: 34946 Fax: 772-461-8722
Phone No. 772-461-8711
E -Mail:
Fill in fee simple Title Holder on next page (if different
E -Mail: KAYLAGRIMESAC@AOL.COM
from the Owner listed above)
State or County License: RA0018071
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
uaaruneeytryGlP[EER:
Not Applicable
Name:
Address:
SUPERVISOR PLANS
City:
State:
Zip: Phone:
REVIEW REVIEW
FEE SIMPLE TITLE HOLDER:
Not Applicable
Name:
Address:
City:
Zip: . Phone:
MORTGAGE COMPANY -Not Applicable
Name: 14
Address:
City: State:
Zip: Phone:
BONDING COMPANY:
Name:
Address:
City:_
ZiP: Phone:
I certify that no work or installation has commenced prior to the issuance of a permit
1jNot Applicable
St. Lucie County makes no representation that is granting a Hermit will authorize the permit holder to build the subject structure
which Is in conflict with any applicable Home Owners Association rules, bylaws or and covenants that may restrict or prohibit such
structure. Please consult with your Horne Owners Association and review your deed for any restrictions which may apply.
In consideration of the granting of this requested permit, I do hereby agree that I will, in all respects, perform the work
In accordance with the approved plans, the Florida Building Codes and St. Lucie County Amendments.
The following building permit applications are exempt from undergoing a full concurrency review: room additions,
accessory structures, swimming pools, fences, walls, signs, screen rooms and accessory uses to another non-residentlal use
WARNING TO OWNER: Your failure to Record a Notice of Commencement may result in your paying twice for
improvements to your property. A Notice of Commencement must be recorded and posted on the jobsite
before the first inspection, if you intend to obtain financing, consult with lender or an attorney before
commencing work or recordiniz your Notice of Commencement.
ature of Owner/L'essee/Contractor as Agent for Owner
STATE OF FLORIDA
COUNTY OF — -
The forgoing instrument was acknowledged before me
this 12_ day of DV 20 Eby
-1 A f\ 1A j; F C, i jfYL
(Name of person acknowledging)
Notary Public- State of
Personally Known OR Produced Identification
Type of Identificatio Produced
Commission
MY COMMISSION S GG 089099
Revised 07/1014 Bv4 ! Tivv Nomy Put& uruer«ntn
STATE OF FLORIDA
COUNTY OF
The forgoing instrument was acknowledged before me
this L_ day of N pU' . _, 20 kK by
(Name of person acknowledging
re of Notary Public- State of FI
Personally KnownOR Produced Identification
Type of IdentificaU n Produced
Commission No.
(Seal)
SUSAN
�vmmo ION # GG &a9099
EXPIRES: Apro 2, 2021
✓3ai1M T?xu N°ta`y P,,*- c s
MANGROVE
REVIEW
REVIEWS FRONT ZONING
SUPERVISOR PLANS
VEGETATION
SEA TURTLE
COUNTER REVIEW
REVIEW REVIEW
REVIEW
REVIEW
DATE
COMPLETE
INITIALS
MANGROVE
REVIEW